CHRIS ALAN MICIOTTO

SHREVEPORT, LA
NPI1730212648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: LA  2914)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
MR. CHRIS ALAN MICIOTTO MSW LCSW ACSW
864 OLIVE ST
SHREVEPORT, LA 71104-2159
Phone number: 318-222-0759
Mailing Address
MR. CHRIS ALAN MICIOTTO MSW LCSW ACSW
7505 CAMELBACK DR
SHREVEPORT, LA 71105-5412
Phone number: 318-518-0621
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